<%@ Page Language="vb" AutoEventWireup="false" CodeBehind="Wfrm_Paso5.aspx.vb" Inherits="WebClinicaLasLilas.Wfrm_Paso5" %>
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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
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    function ValidNum(e) {
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<html xmlns="http://www.w3.org/1999/xhtml" >

<head>


<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Cl&iacute;nica Las Lilas</title>
<link href="../Css/estilos.css" rel="stylesheet" type="text/css" />
    <link href="../Css/default.css" rel="stylesheet" type="text/css" />

   <link href="../Css/jquery-ui-1.7.2.custom.css" rel="stylesheet" type="text/css" />
    <script type="text/javascript" src="http://ajax.googleapis.com/ajax/libs/jquery/1.3.2/jquery.min.js"></script> 
	<script type="text/javascript" src="http://ajax.googleapis.com/ajax/libs/jqueryui/1.7.2/jquery-ui.min.js"></script> 

<script type="text/javascript">
    var d = new Date("<%= now.year %>", "<%= now.month %>", "<%= now.day %>");
    var aniofinal = d.getFullYear();
    var anioinicio = d.getFullYear() - 120;
    var fechaactual = d.getDate();

    jQuery(function($) {
        $.datepicker.regional['es'] = {
            closeText: 'Cerrar',
            prevText: '&#x3c;Ant',
            nextText: 'Sig&#x3e;',
            currentText: 'Hoy',
            monthNames: ['Enero', 'Febrero', 'Marzo', 'Abril', 'Mayo', 'Junio',
		'Julio', 'Agosto', 'Septiembre', 'Octubre', 'Noviembre', 'Diciembre'],
            monthNamesShort: ['Ene', 'Feb', 'Mar', 'Abr', 'May', 'Jun',
		'Jul', 'Ago', 'Sep', 'Oct', 'Nov', 'Dic'],
            dayNames: ['Domingo', 'Lunes', 'Martes', 'Mi&eacute;rcoles', 'Jueves', 'Viernes', 'S&aacute;bado'],
            dayNamesShort: ['Dom', 'Lun', 'Mar', 'Mi&eacute;', 'Juv', 'Vie', 'S&aacute;b'],
            dayNamesMin: ['Do', 'Lu', 'Ma', 'Mi', 'Ju', 'Vi', 'S&aacute;'],
            weekHeader: 'Sm',
            dateFormat: 'dd/mm/yy',
            firstDay: 1,
            isRTL: false,
            showMonthAfterYear: false,
            yearSuffix: '',
            yearRange: anioinicio.toString() + ':' + aniofinal.toString(),
            maxDate: '+0d '//fechaactual
        };
        $.datepicker.setDefaults($.datepicker.regional['es']);
    });


    $(document).ready(function() {
        $("#datepicker").datepicker({
            changeYear: true,
            changeMonth: true
        });
    });


    function FlashID_onclick() {

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        .style7
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            width: 100%;
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        .style8
        {
            width: 300px;
        }
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<script language="javascript" type="text/javascript" for="FlashID" event="onclick">
// <!CDATA[
return FlashID_onclick()
// ]]>
</script>
</head>

<body>

 <form id="form1" runat="server">
 
 <table width="910" border="0" align="center" cellpadding="0" cellspacing="0"> 
	<tr> 
		<td align="center" valign="top" bgcolor="#FFFFFF">
	    <table width ="900px"  >
        <tr>
                <td align="left">
                         
                    <table style="width: 900px">
                            <tr>
                                <td>
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					<param name="quality" value="high" /> 
					<param name="wmode" value="opaque" /> 
					<param name="swfversion" value="9.0.45.0" /> 
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					<param name="expressinstall" value="../../../Scripts/expressInstall.swf" /> 
					<!-- La siguiente etiqueta object es para navegadores distintos de IE. Oc&uacute;ltela a IE mediante IECC. --> 
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						<param name="expressinstall" value="../../../Scripts/expressInstall.swf" /> 
						<!-- El navegador muestra el siguiente contenido alternativo para usuarios con Flash Player 6.0 o versiones anteriores. --> 
						<div> 
							<h4>El contenido de esta p&aacute;gina requiere una versi&oacute;n m&aacute;s reciente de Adobe Flash Player.</h4> 
							<p><a href="http://www.adobe.com/go/getflashplayer"><img src="http://www.adobe.com/images/shared/download_buttons/get_flash_player.gif" alt="Obtener Adobe Flash Player" width="112" height="33" /></a></p> 
							</div> 
						<!--[if !IE]>--> 
						</object> 
					<!--<![endif]--> 
				</object>                                 </td>
                            </tr>
                            <tr align ="center" >
                                <td >

                                    <img alt="" src="../imagenes/Titulo%20toma%20horas.png" /></td>
                            </tr>
                            <tr>
                              <td align ="center">&nbsp;</td>
                            </tr>
                            <tr>
                              <td align ="center">
							  <img alt="" src="../imagenes/Reserve.png" /></td>
                            </tr>
                            <tr  align ="center" >
                              <td>&nbsp;</td>
                            </tr>
                            <tr  align ="center" >
                                <td>

                                    <img alt="" src="../imagenes/paso4.png" /></td>
                            </tr>
                        </table>
                         
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                        <tr>
                            <td>

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                                        BorderStyle="None" BorderWidth="2px" EnableCallBack="false" Visible="false" 
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                                            <tr>
                                                <td>
                                                    <anthem:Label ID="lbl_mensaje" runat="server" CssClass="tomaHorasNormal">                                                    </anthem:Label>                                                </td>
                                            </tr>
                                        </table>
                                    </anthem:Panel>                          </td>
                        </tr>
                    </table>
                    
                 
                 
                 <table>
            <tr>
                <td width="298" class="style8">
                <anthem:Label ID="lblobli10" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblRut" Text = "Rut:" runat="server" CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td width="102">
                <anthem:TextBox ID="txtRut" runat="server" Width="220px" AutoCallBack="True" 
                        MaxLength="8" TipoTextBox="Numeros" AutoComplete = "off" 
                        CssClass="tomaHorasNormal"></anthem:TextBox>
                    &nbsp;<anthem:TextBox ID="txtDV" runat="server" Width="18px" AutoCallBack="True" 
                                    EnabledDuringCallBack="False" AutoComplete = "off" 
                        CssClass="tomaHorasNormal"></anthem:TextBox>                </td>
                <td width="-1" class="style22">                  </td>
            </tr>
            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli9" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblNombres" Text = "Nombres:" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td class="style18">
                <anthem:TextBox ID="txtNombres" Width="220px" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:TextBox>                </td>
                <td>&nbsp;                  </td>
            </tr>
            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli8" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblApaterno" Text = "Apellido Paterno:" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td class="style18">
                <anthem:TextBox ID="txtApaterno" Width="220px" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:TextBox>                </td>
                <td>&nbsp;                  </td>
            </tr>
            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli7" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblAmaterno" Text = "Apellido Materno:" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td class="style18">
                <anthem:TextBox ID="txtAmaterno" Width="220px" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:TextBox>                </td>
                <td>&nbsp;                  </td>
            </tr>
            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli6" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblFechaNac" Text = "Feha de Nacimiento:" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td class="style18">
                <anthem:TextBox ID="datepicker" Width="220px" runat="server" 
                        CssClass="tomaHorasNormal" AutoComplete = "off" ></anthem:TextBox>                </td>
                <td>&nbsp;                  </td>
            </tr>
            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli5" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblSexo" Text = "Sexo:" runat="server" CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td class="style18">
                <anthem:DropDownList ID="cmb_Sexo" runat="server" Width="220px" 
                        CssClass="tomaHorasNormal">
                    <asp:ListItem Selected="True">M</asp:ListItem>
                    <asp:ListItem>F</asp:ListItem>
                </anthem:DropDownList>                </td>
                <td>&nbsp;                  </td>
            </tr>
            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli4" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblRegion" Text = "Regi&oacute;n:" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td class="style18">
                <anthem:DropDownList ID="cmbRegion" runat="server" Width="220px" 
                        CssClass="tomaHorasNormal" AutoCallBack="True">                </anthem:DropDownList>                </td>
                <td>&nbsp;                  </td>
            </tr>
            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli3" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblcomuna" Text = "Comuna:" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td>
                <anthem:DropDownList ID="cmbComuna" runat="server" Width="220px" 
                        CssClass="tomaHorasNormal">                </anthem:DropDownList>                </td>
                <td>&nbsp;                  </td>
            </tr>
            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli2" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblisapre" Text = "Previsi&oacute;n:" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td>
                <anthem:DropDownList ID="cmbIsapre" runat="server" Width="220px" 
                        CssClass="tomaHorasNormal">                </anthem:DropDownList>                </td>
                <td>                  </td>
            </tr>
            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli12" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblfonofijo" text = "Telefono Fijo:" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td>
                <anthem:TextBox ID="txt_fonofijo" Width="220px" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:TextBox>                </td>
                <td>&nbsp;                  </td>
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            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli1" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblCelular" text = "Celular:" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td>
                <anthem:TextBox ID="txtCelular" Width="220px" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:TextBox>                </td>
                <td>&nbsp;                  </td>
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            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli0" text = "*" forecolor="red" runat="server"></anthem:Label>
                <anthem:Label ID="lblMail" Text = "E-Mail:" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td>
                <anthem:TextBox ID="txtMail" Width="220px" runat="server" AutoCallBack="True" 
                        EnabledDuringCallBack="False" CssClass="tomaHorasNormal"></anthem:TextBox>                </td>
                <td>&nbsp;                  </td>
            </tr>
            <tr>
                <td class="style8">&nbsp;                  </td>
                <td style="text-align: center" class="style18">&nbsp;                  </td>
                <td>&nbsp;                  </td>
            </tr>
            <tr>
                <td class="style8">
                <anthem:Label ID="lblobli" text = "*" forecolor="red" runat="server">                </anthem:Label>
                <anthem:Label ID="lblcampo" Text = "Campos Obligatorios" runat="server" 
                        CssClass="tomaHorasNormal"></anthem:Label>                </td>
                <td>
                                                 <anthem:ImageButton ID="btnGrabar0" runat="server" 
                                                    ImageUrl="~/imagenes/boton volver.png" />
                                                 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                                 <anthem:ImageButton ID="btnGrabar" runat="server" 
                                                    ImageUrl="~/imagenes/boton continuar.png" 
                                                     ImageUrlDuringCallBack="~/imagenes/cargando.gif" />                </td>
                <td>&nbsp;                  </td>
            </tr>
        </table>                </td>
        </tr>
        <tr>
          <td align="center"><img alt="" src="../imagenes/Bottom.png" /></td>
        </tr>
    </table>
		</td> 
	</tr> 
</table> 


 
   
  
   
  </form> 

    </body>




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